Title of article :
Gynaecological and Reproductive Health Issues in HIV-Positive Women
Agboghoroma, CO Department of Obstetrics & Gynaecology - National Hospital - Abuja, Nigeria
BACKGROUND: Women constitute over 60 percent of the HIVinfected
population in sub-saharan Africa. Highly active
antiretroviral therapy (HAART) has improved the life span of
people living with human immunodeficiency virus (HIV) and
acquired immune deficiency syndrome (AIDS). Advances in
scientific knowledge and management of the HIV-positive
pregnant woman have also led to reduction in the risk of motherto-
child transmission (MTCT) of HIV. The gynaecological and
reproductive health needs and care of the HIV-positive woman
are poorly appreciated, suboptimal and largely neglected, with
potential to negatively affect their quality of life and efforts at
control of the HIV epidemic.
OBJECTIVE: To review the contemporary gynaecological and
reproductive health problems and management of the
METHODS: A review of local and international publications on
gynaecology / reproductive health and HIV from indexed / online
journals and relevant websites using Pubmed and Google
search in the period between 1980 and March 2009.
RESULTS: The HIV-positive woman suffers increased
frequency and severity of pelvic infections and cervical premalignant
and malignant lesions. Relapses and treatment
failures of these conditions are common among these patients.
Infertility and contraception are also challenges to the
HIVpositive woman. Gynaecological and reproductive health
care is an integral part of the comprehensive health care needs
of the HIV-positive woman.
CONCLUSION: In addition to antiretroviral treatment,
HIVpositive women should be provided regular screening for
sexually transmitted infections (STIs), cervical cytology,
counselling and services for infertility and contraception.
Appropriate attention to the gynaecological and reproductive
health needs of the HIV-positive woman will improve her
general health status and quality of life and contribute to
reduction in the incidence of HIV infection.
cervical cytology , infertility , contraception , reproductive health , pelvic infections , antiretroviral therapy , AIDS , HIV
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